Individual provider Active NPI

Mary A Hobbs Maluccio, MD, MPH

  • Surgical Oncology Physician
  • Metairie, LA
National Provider Identifier
1477505071
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
01059879A Issued in IN
Practice address
4204 Houma Blvd
Metairie, LA 70006-2903
Phone
(504) 503-5426
NPI assigned
May 16, 2006
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X 311861 LA
Surgical Oncology Physician 2086X0206X 01059879A IN Primary

Addresses

Primary practice location

4204 Houma Blvd
Metairie, LA 70006-2903

Mailing address

3621 Lake Dr
Metairie, LA 70002-1533
Phone (462) 671-6746

Other practice location 1

550 University Blvd
Uh4601
Indianapolis, IN 46202-5149
Phone (317) 948-5239

Other identifiers 2

IdentifierTypeStateIssuer
000000386156OtherINANTHEM PIN
200308920MedicaidIN

Other names 1

  • Mary A Maluccio Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050215000550 IN Practitioner - General Surgery 9537111828 Reassigns benefits to 1 organization
I20191025000160 LA Practitioner - Surgical Oncology 9537111828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical Oncology
Education
Columbia University College of Physicians and Surgeons, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2832 Burdette St
New Orleans, LA 70125-2514
Phone (504) 866-2741

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.21 of 100Reported as group
Quality
81.06
Promoting interoperability
100
Improvement activities
40
Cost
71.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01059879AINMDSurgical Oncology Physician
311861LAMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana State University School of Medicine in New Orleans Faculty G Current Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jul 1, 2019 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jul 1, 2019 Accepting new patients
Clarian Transplant Institute, Inc. CurrentSince Jun 10, 2015 Accepting new patients
University Surgeons, Inc. Past Accepting new patients
University General Surgeons, Inc. Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

4759 Reliable Pkwy
Chicago, IL 60686

550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000

550 University Blvd
#4258A
Indianapolis, IN 46202
Phone (317) 274-0103

702 Barnhill Dr
Indianapolis, IN 46202
Phone (317) 274-0273

550 University Blvd
#4601
Indianapolis, IN 46202
Phone (317) 274-4370

4204 Houma Blvd
Ste 2
Metairie, LA 70006
Phone (504) 503-5426

478 S Johnson St
New Orleans, LA 70112
Phone (504) 412-1000

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1477505071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 LAKE DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700021533",
            "telephone_number": "462-671-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 HOUMA BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062903",
            "telephone_number": "504-503-5426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 University Blvd",
            "address_2": "UH4601",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025149",
            "country_code": "US",
            "telephone_number": "317-948-5239",
            "fax_number": "317-948-3847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOBBS MALUCCIO",
        "first_name": "MARY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "LA",
            "license": "311861",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "IN",
            "license": "01059879A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000386156",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200308920",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MALUCCIO",
            "middle_name": "A",
            "credential": "MD, MPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.